ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 64 Questions
Question 1 of 5
A nurse assesses a client who has diabetes mellitus and notes the client is awake and alert, but shaky, diaphoretic, and weak. Five minutes after administering a half-cup of orange juice, the client's clinical manifestations have not changed. Which action should the nurse take next?
Correct Answer: A
Rationale: The client has mild hypoglycemia, and since the initial orange juice did not resolve symptoms, repeating the oral glucose treatment is appropriate. Intravenous dextrose, insulin, or glucagon are not indicated for mild, unresolved symptoms in an alert client.
Question 2 of 5
A nurse teaches a client with diabetes mellitus who is experiencing numbness and reduced sensation. Which statement should the nurse include in this client's teaching to prevent injury?
Correct Answer: D
Rationale: Clients with reduced sensation are at risk for burns from hot bathwater. Using a thermometer to check water temperature prevents injury. Daily foot checks, site rotation, and glucose monitoring are important but do not directly prevent burns.
Question 3 of 5
A nurse reviews laboratory results for a client with diabetes mellitus who presents with polyuria, lethargy, and a blood glucose of 500 mg/dL. Which laboratory result should the nurse correlate with the client's polyuria?
Correct Answer: D
Rationale: Hyperglycemia causes hyperosmolarity of extracellular fluid, leading to polyuria from osmotic diuresis. The client's serum osmolarity is high, which correlates with polyuria. Serum sodium would be expected to be high due to dehydration, not low. Serum creatinine and urine ketone bodies are not directly related to polyuria in this context.
Question 4 of 5
When teaching a client recently diagnosed with type 1 diabetes mellitus, the client states, 'I will never be able to stick myself with a needle.' How should the nurse respond?
Correct Answer: D
Rationale: Exploring the client's concerns about injections promotes understanding and tailored education, supporting self-care. Offering to give injections, minimizing concerns, or warning about poor management are less effective.
Question 5 of 5
After teaching a client with type 2 diabetes mellitus, the nurse assesses the client's understanding. Which statement made by the client indicates a need for additional teaching?
Correct Answer: B
Rationale: Clients with type 2 diabetes need annual checkups to monitor for complications, regardless of control method. The other statements are accurate regarding complication risks and potential insulin needs.